2019
DOI: 10.1371/journal.pone.0226144
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Maternal psychosocial risk factors and lower respiratory tract infection (LRTI) during infancy in a South African birth cohort

Abstract: ObjectiveTo investigate the association between maternal antenatal and/or postnatal psychosocial risk factors (including depression, psychological distress, alcohol abuse and intimate partner violence (IPV) and infant lower respiratory tract infection (LRTI) in a low- and middle-income-country (LMIC).Study designPregnant women (n = 1137) enrolled in a South African birth cohort study, the Drakenstein Child Health Study (DCHS) were longitudinally assessed for psychosocial risk factors including depression, psyc… Show more

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Cited by 9 publications
(9 citation statements)
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“…Maternal mental vulnerability, low family support, and low ability to financial problems will affect the child-rearing process [32,33]. Risk factors for maternal psychosocial conditions are associated with the incidence of severe lower respiratory tract infection and LRTI, especially for post-natal stress and long-term maternal psychological distress [34].…”
Section: Discussionmentioning
confidence: 99%
“…Maternal mental vulnerability, low family support, and low ability to financial problems will affect the child-rearing process [32,33]. Risk factors for maternal psychosocial conditions are associated with the incidence of severe lower respiratory tract infection and LRTI, especially for post-natal stress and long-term maternal psychological distress [34].…”
Section: Discussionmentioning
confidence: 99%
“…Among those with depression meeting threshold for diagnosis or anxiety disorder 10% Dutch study (Spijker et al, 2002); similar values suggested by South African study (Garman et al, 2019b) Specifically, numbers of children with internalising or externalising problems or stunting linked to perinatal mental health problems were estimated from the number of women with perinatal depression. Numbers of children with lower respiratory tract infection in the first year or ongoing asthma (which is linked to perinatal psychological distress) were estimated from the number of children exposed to perinatal psychological distress (which overlaps with depression and anxiety) based on work by MacGinty and colleagues (MacGinty et al, 2018(MacGinty et al, , 2019. Evidence from that study indicated that lower respiratory infections occur only in the first year, whilst asthma develops as a long-term condition and persists over the lifetime (i.e.…”
Section: %mentioning
confidence: 99%
“…Costs to the public sector refer to costs of hospitalisations of infants with episodes of severe lower respiratory tract infections linked to persistent psychological distress during the first year postpartum, calculated from South African evidence on hospitalisation risk (MacGinty et al, 2018(MacGinty et al, , 2019 and data on the average cost of a hospital stay (Ramjee, 2013).…”
Section: Economic Consequences: Childrenmentioning
confidence: 99%
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“…Postnatal depression (PND) is the most common complication of childbearing (1) and can seriously reduce a mother's ability to care for herself and her infant (2). It is a significant contributor to maternal morbidity and mortality in low-and middle-income countries (LMICs) and is associated with adverse health and growth outcomes in infants (3)(4)(5)(6)(7)(8). The prevalence of PND is twice as high in LMICs (20%) compared to high income countries (10%, HICs) (2).…”
Section: Introductionmentioning
confidence: 99%